Results
4 variables that we can use to look at performance results of ACOs in 2018.
Column
Benchmark Minus Expenditure - How much money was allotted for all beneficiaries (benchmark) minus the total amount spent (Expenditure)
Column
- Generated Savings / Losses - For the ACO, how much money did they receive in savings or had to pay back? Within the Minimum Loss Ratio and Minimum Savings ratio, they net 0 losses and savings.
Column
- Generated Savings / Losses Categories - for the ACO, did they experience Savings, Losses, or Neither (0)
Column
- Savings Rate - Percentage of Benchmark Minus Expenditure / initial Benchmark.
There are fewer ACOs still participating year over year
In 2018, there were a total of 548 ACOs. While 123 new ACOs joined that year, only a handful of ACOs have persisted since the beginning.
These ACOs served 10096874 patients / beneficiaries in a single year.
506514 providers, including primary care physicians (PCPs), specialists, nurse practitioners, physician assistants, clinical nurse specialists participated in the performance year.
Most ACOs choose the risk-less track
Track 1 ACOs are one-sided risk. In other words, if the ACO meets the savings threshold, they can share in the rewards.
The majority of ACOs did not see any savings or losses
In order to be eligible for savings or penalized for losses, all ACOs have a Minimum Savings Rate (MSR) or Minimum Loss Rate (MLR)
Older ACOs are more likely to see savings
